中国地方病学杂志
中國地方病學雜誌
중국지방병학잡지
CHINESE JOURNAL OF ENDEMIOLOGY
2008年
3期
308-310
,共3页
范玉山%刘丹%张立山%王建红
範玉山%劉丹%張立山%王建紅
범옥산%류단%장립산%왕건홍
布鲁杆菌病%血清流行病学研究%数据收集
佈魯桿菌病%血清流行病學研究%數據收集
포로간균병%혈청류행병학연구%수거수집
Brucellosis%Seroepidemiologie studies%Data collection
目的 了解2003-2006年唐山市人间布鲁杆菌感染状况及其流行病学特征.方法 采集有牛羊接触史人群(422例)、疑似病例(22例)和部分与感染者密切接触人员(41例)的血清共485人份,进行虎红平板凝集试验(RBPT)和试管凝集试验(SAT),根据血清学检验和流行病学调查结果进行病例诊断.结果 2003-2006年唐山市布鲁杆菌病抗体阳性检出率分别为8.8%(12/137)、12.7%(8/63)、13.1%(22/171)、16.2%(19/114),呈逐年上升趋势.2、3季度呈现明显的感染发病高峰,占总感染人数的77.0%(47/61).有明确的牛羊接触史人员占总感染人数的98.4%(60/61).职业分布上,以牛羊养殖人员为主,占总感染人数的86.9%(53/61),均为散养户人员,其次是兽医,占总感染人数的8.2%(5/61).与感染者密切接触人员抗体均为阴性.结论 唐山市部分县(区)人间布鲁杆菌病发生在高危人群中呈上升趋势,直接接触病畜尤其病畜流产物或胎盘足人间布鲁杆菌病主要的传播途径,但尚未发现布鲁杆菌病在人与人之间传染.
目的 瞭解2003-2006年唐山市人間佈魯桿菌感染狀況及其流行病學特徵.方法 採集有牛羊接觸史人群(422例)、疑似病例(22例)和部分與感染者密切接觸人員(41例)的血清共485人份,進行虎紅平闆凝集試驗(RBPT)和試管凝集試驗(SAT),根據血清學檢驗和流行病學調查結果進行病例診斷.結果 2003-2006年唐山市佈魯桿菌病抗體暘性檢齣率分彆為8.8%(12/137)、12.7%(8/63)、13.1%(22/171)、16.2%(19/114),呈逐年上升趨勢.2、3季度呈現明顯的感染髮病高峰,佔總感染人數的77.0%(47/61).有明確的牛羊接觸史人員佔總感染人數的98.4%(60/61).職業分佈上,以牛羊養殖人員為主,佔總感染人數的86.9%(53/61),均為散養戶人員,其次是獸醫,佔總感染人數的8.2%(5/61).與感染者密切接觸人員抗體均為陰性.結論 唐山市部分縣(區)人間佈魯桿菌病髮生在高危人群中呈上升趨勢,直接接觸病畜尤其病畜流產物或胎盤足人間佈魯桿菌病主要的傳播途徑,但尚未髮現佈魯桿菌病在人與人之間傳染.
목적 료해2003-2006년당산시인간포로간균감염상황급기류행병학특정.방법 채집유우양접촉사인군(422례)、의사병례(22례)화부분여감염자밀절접촉인원(41례)적혈청공485인빈,진행호홍평판응집시험(RBPT)화시관응집시험(SAT),근거혈청학검험화류행병학조사결과진행병례진단.결과 2003-2006년당산시포로간균병항체양성검출솔분별위8.8%(12/137)、12.7%(8/63)、13.1%(22/171)、16.2%(19/114),정축년상승추세.2、3계도정현명현적감염발병고봉,점총감염인수적77.0%(47/61).유명학적우양접촉사인원점총감염인수적98.4%(60/61).직업분포상,이우양양식인원위주,점총감염인수적86.9%(53/61),균위산양호인원,기차시수의,점총감염인수적8.2%(5/61).여감염자밀절접촉인원항체균위음성.결론 당산시부분현(구)인간포로간균병발생재고위인군중정상승추세,직접접촉병축우기병축유산물혹태반족인간포로간균병주요적전파도경,단상미발현포로간균병재인여인지간전염.
Objective To study the human brucellosis infection status and its epidemic feature during 2003-2006.Methods A total of 485 blood samples of serum underwent rose bengal plate test(RBPT)and serum agglutination test(SAT),which include 422 cases having a history of contacting with sheep/goats or cattle,22 suspected eases,and 41 cases having contacted with infected persons.All cases were diagnosed according serology test and epidemiologic survey.Results The positive rates of Serum antibodies(SAT titer)were 8.8%(12/137),12.7%(8/63),13.1%(22/171)and 16.2%(19/114),respectively,during 2003 to 2006 in Tangshan,in an increasing Rend and peaked in the second and the third seasons 77.0%(47/61).The mostly infected population were those who contacted with sheep/goats or cattle,accounting for 98.4%(60/61).Livestock farmers 86.9%(53/61),and veterinarians 8.2%(5/61)were mostly likely to be infected.Assay of serum antibodies is negative in the persons contacting with infected cases.Conclusions The prevalence of human brucellsis had presented a rising tendency in highly dangerous crowd of Tangshan.Contacting with infected livestock(such as sheep/goats or cattle),especially their aborted materials and placenta were mainly transmitted modes of human brucellsis.However,cases of person-to-person transmission has not been discovered in this study.
